BC Advantage - 2013 Issue 6
Predictive Modeling is a Necessary Starting Point for BPCI Participating Providers
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Article Overview
This article explains the role of predictive modeling in the context of the Bundled Payments for Care Improvement initiative and related payment reform. It discusses how providers may use data-driven analysis to evaluate episode types, forecast costs, and assess care transitions as they adapt to bundled payment models. The piece is relevant to hospital leaders, post-acute providers, care coordinators, and health care organizations preparing for payment and delivery system changes.
Why This Topic Matters
Bundled payment programs require providers to understand episode costs, care coordination, and patient risk across settings. This article provides a high-level view of why predictive analytics is being presented as a practical planning resource for organizations trying to improve quality while managing reimbursement under alternative payment models.
What You Will Learn
- How predictive modeling is being applied in health care payment reform discussions
- Why bundled payment models require closer attention to episode-level cost and care coordination
- How providers may use data analysis to evaluate risk, planning, and post-acute transitions
- What kinds of organizational considerations are raised in relation to bundled payment participation
Who Should Read This
- Hospitals
- Physicians
- Post-acute care providers
- Health system administrators
- Care coordinators
- Health care executives
- Revenue cycle and payment policy readers
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